Individual provider Active NPI

Sanford C Newmark, M.D.

  • Pediatric Adolescent Medicine Physician
  • San Francisco, CA
National Provider Identifier
1184657082
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
G88450 Issued in CA
Practice address
1545 Divisadero St
4TH Floor
San Francisco, CA 94115
Phone
(415) 353-7460
Fax
(415) 353-7747
NPI assigned
Jul 7, 2006
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 16648 AZ
Pediatric Adolescent Medicine Physician 2080A0000X G88450 CA Primary

Addresses

Primary practice location

1545 Divisadero St
4TH Floor
San Francisco, CA 94115

Mailing address

1545 Divisadero St
4TH Floor
San Francisco, CA 94115
Phone (415) 353-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000721 CA Practitioner - Pediatric Medicine 4981621802 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88450CAMDPharmacist
16648AZMDPediatric Adolescent Medicine Physician
G88450CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Dec 13, 2010 Accepting new patients
UCSF Pediatrics Associates CurrentSince Dec 13, 2010 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 13, 2010 Accepting new patients
University of California San Francisco Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Past Accepting new patients

Locations

1545 Divisadero St
Fl 4
San Francisco, CA 94143
Phone (415) 353-7460

1545 Divisadero St
Ste St
San Francisco, CA 94143

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 567-6600

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1184657082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 DIVISADERO ST",
            "address_2": "4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7460",
            "fax_number": "415-353-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 DIVISADERO ST",
            "address_2": "4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7460",
            "fax_number": "415-353-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMARK",
        "first_name": "SANFORD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "16648",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G88450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.